Matthew Johansen, MS, LCPC, QSUDP | |
2131 S Bonito Way, Meridian, ID 83642-1659 | |
(208) 202-4729 | |
Not Available |
Full Name | Matthew Johansen |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2131 S Bonito Way, Meridian, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487066320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCPC-6475 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Matthew Johansen, MS, LCPC, QSUDP 6407 W Robertson Dr, Boise, ID 83709-2176 Ph: (208) 836-8247 | Matthew Johansen, MS, LCPC, QSUDP 2131 S Bonito Way, Meridian, ID 83642-1659 Ph: (208) 202-4729 |
Diane Smith, Counselor Medicare: Medicare Enrolled Practice Location: 2131 S Bonito Way, Meridian, ID 83642 Phone: 208-202-4732 | |
Gregory M Deitchler, MA L.M.F.T., L.P.C., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3061 S. Meridian Rd., Suite 100, Meridian, ID 83642 Phone: 208-350-0330 Fax: 208-576-6915 | |
Mrs. Chris Zukowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 S Topaz Way, Meridian, ID 83642 Phone: 208-888-3151 | |
Tami Marie Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3597 E Monarch Sky Ln Ste F-240, Meridian, ID 83646 Phone: 208-890-7165 | |
Courtney S. Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1047 S Wells St, Meridian, ID 83642 Phone: 208-670-5551 | |
Shelby Martini, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ustick Rd Ste 120, Meridian, ID 83646 Phone: 208-506-0520 | |
Chad Goldsmith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2950 E Magic View Dr Ste 192, Meridian, ID 83642 Phone: 208-843-4003 |